asgffddasassdsadasdasdsazxzzxTrans Republic of the Philippines TATIO

DEPARTMENT OF TRANSPORTATION
LAND TRANSPORTATION OFFICE
PHILPOST II
COMPOUND ANNEX BLDG. LIWASANG

BONIFACI0, MANILA iment Transps

Field Office SOUTH DISTRICT 000861761104 TIN: Office Code:

MANILA OFFICE

1348 Date 10/214/2022 1:36 PM OFFICIAL RECEIPT 1348-

000011231784 jghjhhjhggfgf
FROM Name Middle
RECEIVED (Last Name, First Name) asd
KEVIN
CARIMA JOYI CELIs/RALPH R ASILDO,
Street,
ADDRESS (No. Barangay, Municipfgfdfsgdfasfdhfghfgjffdfgffddfality, Zip Code,
Province)
H Makati TIN
2896 Santos, Tejeros, City, 1204, Metro Manila, Fourth District
ldentification
(Tax Number)

PAYMENT DETAILSS BREAKDOWN OF PAYMENT

Transaction: Change Venue Fee

TX-MVIRS-20220628- PHP 100.00
391300
MVUC PHP 240.00
Plate No:
130106
Sdence Tax PHP 12.00
File No: 130100001518826 Classification: Private Legal Research Fee PHP 10.00

Engine: AES4-484617
Chassis: EB11B-134636
Vehicle Type: Gross Weight: Motorcycle without sidecar MC
260
Next Renewal: 06/22/2023 -06/30/2023

THREE HUNDRED SXTY-TWO PESOS

TOTAL AMOUNT PAID: PHP 362.00 AMOUNT IN
WORDS:

MODE OF PAYMENT: Cash

LOCATION: Manila South Distnct Office
CASHIER: Saran C. Nava

POS MACHINE MSDO-CASHIER1

This is a system generated Officdal Receipt. No Signatures needed.
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